JACQUELINE SHORT (NPI# 1902306178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902306178 |
| Entity Type | Individual |
| Full Name | JACQUELINE SHORT |
| Practice Address |
3464 Ave A Council Bluffs IA 51501-1817 |
| Practice Telephone | 7122566877 |
| Mailing Telephone | 7122566877 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3632 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3464 AVE A |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165373 | Julia Anne Lawrence | Massage Therapist | 1815 Avenue E, Council Bluffs, IA 51501-2455 | 2017-03-21 |
| 1326590522 | Danielle Martinec | Massage Therapist | 928 Valley View Dr Ste 7, Council Bluffs, IA 51503-5288 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059931 | Brittney Nicole Piepenbrink | Massage Therapist | 2937 E Washington Ave, Des Moines, IA 50317-8648 | 2020-10-07 |
| 1932716982 | Safiyah S Grace | Massage Therapist | 1251 Keosauqua Way, Des Moines, IA 50309-1013 | 2020-09-24 |
| 1912513797 | Holly Ann Rasmusson | Massage Therapist | 806 3rd St W, Cresco, IA 52136-1053 | 2020-09-17 |
| 1366055428 | Thomas Ray Savage | Massage Therapist | 1110 Agency St, Burlington, IA 52601-4304 | 2020-08-28 |
| 1083223309 | Jennifer Sue Wahl | Massage Therapist | 308 4th St S, Northwood, IA 50459-1900 | 2020-07-23 |
| 1851916589 | Brenda Naaktgeboren | Massage Therapist | 4215 Lewis Access Road, Suite 300, Center Point, IA 52213-9502 | 2020-06-09 |
| 1558906255 | Angela Crumly | Massage Therapist | 801 Oregon, Suite 6, Muscatine, IA 52761-5276 | 2019-11-18 |
| 1871137307 | Jori Lee Gulker | Massage Therapist | 1504 Us 18 St, Inwood, IA 51240-7544 | 2019-10-28 |
| 1750924585 | La Homa L Simmonds | Massage Therapist | 433 Nature Rd, Boone, IA 50036-7284 | 2019-10-24 |
| 1063062867 | Courtney Renee Myers | Massage Therapist | 113 N 3rd Ave, Villisca, IA 50864-1018 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on JACQUELINE SHORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.